1,632 research outputs found

    Hybrid System of Tiered Multivariate Analysis and Artificial Neural Network for Coronary Heart Disease Diagnosis

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    Improved system performance diagnosis of coronary heart disease becomes an important topic in research for several decades. One improvement would be done by features selection, so only the attributes that influence is used in the diagnosis system using data mining algorithms. Unfortunately, the most feature selection is done with the assumption has provided all the necessary attributes, regardless of the stage of obtaining the attribute, and cost required. This research proposes a hybrid model system for diagnosis of coronary heart disease. System diagnosis preceded the feature selection process, using tiered multivariate analysis. The analytical method used is logistic regression. The next stage, the classification by using multi-layer perceptron neural network. Based on test results, system performance proposed value for accuracy 86.3%, sensitivity 84.80%, specificity 88.20%, positive prediction value (PPV) 90.03%, negative prediction value (NPV) 81.80%, accuracy 86,30%  and area under the curve (AUC) of 92.1%. The performance of a diagnosis using a combination attributes of risk factors,symptoms and exercise ECG. The conclusion that can be drawn is that the proposed diagnosis system capable of delivering performance in the very good category, with a number of attributes that are not a lot of checks and a relatively low cost

    Assessment of Dual-Tree Complex Wavelet Transform to improve SNR in collaboration with Neuro-Fuzzy System for Heart Sound Identification

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    none6siThe research paper proposes a novel denoising method to improve the outcome of heartsound (HS)-based heart-condition identification by applying the dual-tree complex wavelet transform (DTCWT) together with the adaptive neuro-fuzzy inference System (ANFIS) classifier. The method consists of three steps: first, preprocessing to eliminate 50 Hz noise; second, applying four successive levels of DTCWT to denoise and reconstruct the time-domain HS signal; third, to evaluate ANFIS on a total of 2735 HS recordings from an international dataset (PhysioNet Challenge 2016). The results show that the signal-to-noise ratio (SNR) with DTCWT was significantly improved (p < 0.001) as compared to original HS recordings. Quantitatively, there was an 11% to many decibel (dB)-fold increase in SNR after DTCWT, representing a significant improvement in denoising HS. In addition, the ANFIS, using six time-domain features, resulted in 55–86% precision, 51–98% recall, 53–86% f-score, and 54–86% MAcc compared to other attempts on the same dataset. Therefore, DTCWT is a successful technique in removing noise from biosignals such as HS recordings. The adaptive property of ANFIS exhibited capability in classifying HS recordings.Special Issue “Biomedical Signal Processing”, Section BioelectronicsopenBassam Al-Naami, Hossam Fraihat, Jamal Al-Nabulsi, Nasr Y. Gharaibeh, Paolo Visconti, Abdel-Razzak Al-HinnawiAl-Naami, Bassam; Fraihat, Hossam; Al-Nabulsi, Jamal; Gharaibeh, Nasr Y.; Visconti, Paolo; Al-Hinnawi, Abdel-Razza

    An alternative approach to determination of Covid‑19 personal risk index by using fuzzy logic

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    COVID-19 disease is an outbreak that seriously affected the whole world, occurred in December 2019, and thus was declared a global epidemic by WHO (World Health Organization). To reduce the impact of the epidemic on humans, it is important to detect the symptoms of the disease in a timely and accurate manner. Recently, several new variants of COVID-19 have been identified in the United Kingdom (UK), South Africa, Brazil and India, and preliminary findings have been suggested that these mutations increase the transmissibility of the virus. Therefore, the aim of this study is to construct a support system based on fuzzy logic for experts to help detect of COVID-19 infection risk in a timely and accurate manner and to get a numerical output on symptoms of the virus from every person. The decision support system consists of three different sub and one main Mamdani type fuzzy inference systems (FIS). Subsystems are Common- Serious symptoms (First), Rare Symptoms (Second) and Personal Information (Third). The first FIS has five inputs, fever-time, cough-time, fatigue-time, shortness of breath and chest pain/dysfunction; the second FIS has four inputs, Loss of Taste/Smell, Body Aches, Conjuctivitis, and Nausea/Vomiting/Diarrhea; and the third FIS has three inputs, Age, Smoke, and Comorbidities. Then, we obtain personal risk index of individual by combining the outputs of these subsystems in a final FIS. The results can be used by health professionals and epidemiologists to make inferences about public health. Numerical output can also be useful for self-control of an individual.No sponso

    Formal Detection of Attentional Tunneling in Human Operator-Automation Interactions

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    The allocation of visual attention is a key factor for the humans when operating complex systems under time pressure with multiple information sources. In some situations, attentional tunneling is likely to appear and leads to excessive focus and poor decision making. In this study, we propose a formal approach to detect the occurrence of such an attentional impairment that is based on machine learning techniques. An experiment was conducted to provoke attentional tunneling during which psycho-physiological and oculomotor data from 23 participants were collected. Data from 18 participants were used to train an adaptive neuro-fuzzy inference system (ANFIS). From a machine learning point of view, the classification performance of the trained ANFIS proved the validity of this approach. Furthermore, the resulting classification rules were consistent with the attentional tunneling literature. Finally, the classifier was robust to detect attentional tunneling when performing over test data from four participants

    INTERACTIVE NEURO-FUZZY EXPERT SYSTEM FOR DIAGNOSIS OF LEUKEMIA

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    Leukemia is closely linked with the blood or bone marrow. Leukemia is regard as cancer of the blood cells (usually white blood cells). The abnormal white blood cells formed in leukemia also accumulate in the organs of the body such as the spleen, liver, lymph nodes, testes, and brain, and interfere with normal functioning of the organ. Leukemia is of four common type; Acute lymphocytic leukemia, acute myelogenous leukemia, chronic lymphocytic leukemia and chronic myelogenous leukemia. Leukemia symptoms are predominantly paleness, fatigue, bone pain, asthemia, palpitation, frequent infection, nose bleeding and thrombocytopenia. Neuro-Fuzzy Logic explores approximation techniques from neural networks to finds the parameter of a fuzzy system. In this paper, the traditional procedure for the medical diagnosis of leukemia employed by physician is analyzed using neuro-fuzzy inference procedure. From the system designed if the patient is having five or more of the enlisted symptoms, the patient is experiencing 201C;severe Leukemia201D; and should go for treatment urgently. If it is approximately four of the symptoms the patient is experiencing, the patient 201C;might be suffering from Leukemia201D; and hence should see a physician right away, but if it is three or less of the enlisted symptoms, the patient is not 201C;suffering from Leukemia201D;. The system which demonstrates the practical application of Information and Communication Technology (ICT) in the health sector is interactive and tells the patient his current condition as regards Leukemia

    Cardiomyopathy Detection from Electrocardiogram Features

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    Cardiomyopathy means heart (cardio) muscle (myo) disease (pathy) . Currently, cardiomyopathies are defined as myocardial disorders in which the heart muscle is structurally and/or functionally abnormal in the absence of a coronary artery disease, hypertension, valvular heart disease or congenital heart disease sufficient to cause the observed myocardial abnormalities. This book provides a comprehensive, state-of-the-art review of the current knowledge of cardiomyopathies. Instead of following the classic interdisciplinary division, the entire cardiovascular system is presented as a functional unity, and the contributors explore pathophysiological mechanisms from different perspectives, including genetics, molecular biology, electrophysiology, invasive and non-invasive cardiology, imaging methods and surgery. In order to provide a balanced medical view, this book was edited by a clinical cardiologist

    Cognitive Neuro-Fuzzy Expert System for Hypotension Control

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    Hypotension; also known as low blood sugar affect gender of all sort; hypotension is a relative term because the blood pressure normally varies greatly with activity, age, medications, and underlying medical conditions.  Low blood pressure can result from conditions of the nervous system, conditions that do not begin in the nervous system and drugs. Neurologic conditions (condition affecting the brain neurons) that can lead to low blood pressure include changing position from lying to more vertical (postural hypotension), stroke, shock, lightheadedness after urinating or defecating, Parkinson's disease, neuropathy and simply fright. Clinical symptoms of hypotension include low blood pressure, dizziness, Fainting, clammy skin, visual impairment and cold sweat. Neuro-Fuzzy Logic explores approximation techniques from neural networks to find the parameter of a fuzzy system. In this paper, the traditional procedure of the medical diagnosis of hypotension employed by physician is analyzed using neuro-fuzzy inference procedure. The proposed system which is self-learning and adaptive is able to handle the uncertainties often associated with the diagnosis and analysis of hypotension. Keywords: Neural Network, Fuzzy logic, Neuro Fuzzy System, Expert System, Hypotensio

    Neuropathy Classification of Corneal Nerve Images Using Artificial Intelligence

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    Nerve variations in the human cornea have been associated with alterations in the neuropathy state of a patient suffering from chronic diseases. For some diseases, such as diabetes, detection of neuropathy prior to visible symptoms is important, whereas for others, such as multiple sclerosis, early prediction of disease worsening is crucial. As current methods fail to provide early diagnosis of neuropathy, in vivo corneal confocal microscopy enables very early insight into the nerve damage by illuminating and magnifying the human cornea. This non-invasive method captures a sequence of images from the corneal sub-basal nerve plexus. Current practices of manual nerve tracing and classification impede the advancement of medical research in this domain. Since corneal nerve analysis for neuropathy is in its initial stages, there is a dire need for process automation. To address this limitation, we seek to automate the two stages of this process: nerve segmentation and neuropathy classification of images. For nerve segmentation, we compare the performance of two existing solutions on multiple datasets to select the appropriate method and proceed to the classification stage. Consequently, we approach neuropathy classification of the images through artificial intelligence using Adaptive Neuro-Fuzzy Inference System, Support Vector Machines, Naïve Bayes and k-nearest neighbors. We further compare the performance of machine learning classifiers with deep learning. We ascertained that nerve segmentation using convolutional neural networks provided a significant improvement in sensitivity and false negative rate by at least 5% over the state-of-the-art software. For classification, ANFIS yielded the best classification accuracy of 93.7% compared to other classifiers. Furthermore, for this problem, machine learning approaches performed better in terms of classification accuracy than deep learning

    Advanced Signal Processing and Control in Anaesthesia

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    This thesis comprises three major stages: classification of depth of anaesthesia (DOA); modelling a typical patient’s behaviour during a surgical procedure; and control of DOAwith simultaneous administration of propofol and remifentanil. Clinical data gathered in theoperating theatre was used in this project. Multiresolution wavelet analysis was used to extract meaningful features from the auditory evoked potentials (AEP). These features were classified into different DOA levels using a fuzzy relational classifier (FRC). The FRC uses fuzzy clustering and fuzzy relational composition. The FRC had a good performance and was able to distinguish between the DOA levels. A hybrid patient model was developed for the induction and maintenance phase of anaesthesia. An adaptive network-based fuzzy inference system was used to adapt Takagi-Sugeno-Kang (TSK) fuzzy models relating systolic arterial pressure (SAP), heart rate (HR), and the wavelet extracted AEP features with the effect concentrations of propofol and remifentanil. The effect of surgical stimuli on SAP and HR, and the analgesic properties of remifentanil were described by Mamdani fuzzy models, constructed with anaesthetist cooperation. The model proved to be adequate, reflecting the effect of drugs and surgical stimuli. A multivariable fuzzy controller was developed for the simultaneous administration of propofol and remifentanil. The controller is based on linguistic rules that interact with three decision tables, one of which represents a fuzzy PI controller. The infusion rates of the two drugs are determined according to the DOA level and surgical stimulus. Remifentanil is titrated according to the required analgesia level and its synergistic interaction with propofol. The controller was able to adequately achieve and maintain the target DOA level, under different conditions. Overall, it was possible to model the interaction between propofol and remifentanil, and to successfully use this model to develop a closed-loop system in anaesthesia
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